- Molina Healthcare (Fort Worth, TX)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Elevance Health (Grand Prairie, TX)
- …work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The Clinical Quality Program Manager is responsible for serving as ... reporting is in place. + Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of… more
- HCA Healthcare (Dallas, TX)
- …programs. This includes monitoring patient medication regimens and providing appropriate interventions . The Clinical Specialist shall also assist in mentoring ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...and mentor antimicrobial management program (AMP). + Documents all clinical activities and interventions accurately and completely.… more
- HCA Healthcare (Fort Worth, TX)
- …antimicrobial management and other clinical programs + Document all clinical activities and interventions accurately and completely. Responsible for ... of order sets and/or computer drug entries + Participate in the continuous quality improvement of pharmacy operations (operational/ clinical ) + Provide input for… more
- HCA Healthcare (Plano, TX)
- …Friday with some weekends *_** Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The ... shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case...in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality … more
- HCA Healthcare (Dallas, TX)
- …and will be on weekdays *_ Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN ... shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case...in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality … more
- HCA Healthcare (Mckinney, TX)
- …weekend shifts as needed *_ Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The ... established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient… more
- Molina Healthcare (Fort Worth, TX)
- …plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with other ... years of experience in Managed Care and/or health plan quality . Clinical experience is needed for positions...for positions that are focused on Accreditation, Compliance, HEDIS Interventions , Potential Quality of Care issues, and… more
- Select Medical (Frisco, TX)
- …planning process. The primary job functions in Case Management include: + Clinical Interventions /Discharge and Care Planning Management + Fiscal Management + ... **Overview** **Baylor Scott & White Institute for Rehabilitation** **Frisco, TX** **Case Manager ** *RN or LMSW Licensure Required* Full Time **Hours: Monday -… more
- Molina Healthcare (Carrollton, TX)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (Fort Worth, TX)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (Irving, TX)
- …Opportunity for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Irving, TX service delivery area. Part ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Fort Worth, TX)
- …accuracy of abstracted records as required by specifications. + Assists the quality improvement staff with physician and member interventions and incentive ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- CenterWell (Fort Worth, TX)
- …signature and implemented + Report patient's progress to the patient's physician, Clinical Manager , staff, patient and family. Submit evaluation, treatment ... perform everyday activities with confidence and enjoy a better quality of life. As a **Home Health Physical Therapist**...to achieve maximum results. + Confer with physician and clinical team members to obtain additional patient information and… more
- Fresenius Medical Center (Fort Worth, TX)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively… more
- Methodist Health System (Dallas, TX)
- …data and monitors for acute and chronic care management * Assist the Office Manager in developing and implementing clinical policies and procedures. * Advise ... assesses disease condition. * Executes prescribed treatments and medical interventions , administers prescribed medications, and monitors and documents treatment… more
- CVS Health (Mesquite, TX)
- …+ Navigate patient insurance benefits in collaboration with the Patient Relations Manager (PRM) to ensure mindful utilization and maximization of plan benefits + ... to independently manage their health conditions and have increased quality of life. + Educate patients on supportive care...team members have visibility into the status of MSW interventions + Partner with Community Health Workers and provide… more